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Theodore Germanos, MDPsychiatry & Mental Health
Dr. Theodore Germanos, MD

About Dr. Theo

Theodore Germanos, MD

Dr. Theo is well known for his ability to combine the academic side of medicine with real-life experience to provide an unmatched level of care.

He works with adults, adolescents, and children (5+) — from those seeking relief to executives, physicians, entrepreneurs, athletes, and other high performers looking for an edge.

He is triple board certified in:

  • Adult Psychiatry
  • Child & Adolescent Psychiatry
  • Addiction Medicine
UndergraduateSan Diego State University
Medical School & ResidencyMeharry Medical College
FellowshipUC San Diego

Board certified by the ABPN · Licensed in California · In practice since 2016

Accepting a limited number of new patients

Welcome to the practice of Theodore Germanos, MD

Compassionate, evidence-based psychiatric care. Begin your application below — it takes about 5–7 minutes, and you can review everything before you submit.

Every application is personally reviewed by Dr. Theo — most applicants receive a response within 1–2 business days.

Your information is kept private
About 5–7 minutes
Triple board certifiedSecure telehealthPrivate & confidential

General Psychiatry

Understanding your care

What is psychiatry?
Psychiatry is the branch of medicine focused on the diagnosis, treatment, and prevention of mental, emotional, and behavioral conditions — the field of medicine devoted to the brain's processes. A simple way to think of it: if neurology cares for the brain's hardware, psychiatry cares for its software — how we think, feel, and behave. Because psychiatrists are physicians, they consider both mind and body, and diagnose and treat problems such as depression, anxiety, and ADHD, along with the interconnected challenges that show up in human behavior, emotions, and thoughts.
What happens at the first appointment?
Your first visit is a comprehensive 60-minute diagnostic evaluation. We review your history, current challenges, and goals, and together decide on a plan — which may include mental training, therapy, medication management, or a combination.
What's the difference between a psychiatrist and a therapist?
A psychiatrist is a medical doctor who evaluates the whole picture — medical, psychological, and social — makes diagnoses, and can prescribe medication when appropriate. Dr. Theo provides both medical psychiatric care and emotional and behavioral therapy, so your care stays in one place.
Do I have to take medication?
No. Medication is one tool among many, and many patients do well with therapy and mental training alone. When medication is appropriate, it is discussed openly and monitored closely. Medication prescribing is currently available for California residents.
What ages do you work with?
I provide care for children (5+), adolescents, and adults. My approach for younger patients includes thoughtful collaboration with families when appropriate, while maintaining discretion and respect for the child or teen’s autonomy.
Is my care confidential?
Yes. Your information is kept private and your records are confidential, with only the narrow exceptions required by law. The practice is fee-for-service and does not bill insurance directly, which adds a further layer of privacy.
Are visits available by video?
Yes — all visits are conducted by secure telemedicine video. In-person appointments are not available at this time.
Do you accept insurance?
As an out-of-network physician, I do not contract with insurance companies or participate in provider networks. This allows me to provide highly personalized, unhurried, and confidential care without the limitations often imposed by insurance-driven models. Payment is due at the time of service. Many of my patients choose to work with me because they value a level of care that prioritizes discretion, responsiveness, and clinical excellence. Upon request, I am happy to provide a detailed superbill that you may submit to your insurance carrier for possible out-of-network reimbursement, depending on your plan.
How much does it cost?
The practice is fee-for-service and out-of-network, with payment due at the time of service. A detailed fee schedule for the initial consultation and follow-up visits is provided within the application, before you commit to anything, and a superbill is available on request for possible out-of-network reimbursement.
How soon can I be seen?
New-patient availability is limited and offered on a rolling basis. Once your application is reviewed, the practice reaches out by email to coordinate scheduling — usually within 1–2 business days.
Which states can you see patients in?
All visits are conducted by secure telemedicine video. Medication prescribing is currently available for California residents; patients in other states — or outside the U.S. — can still apply for mental training and performance work. Your specific situation is confirmed during the application.
How do I get started?
Click Apply now above. The application takes about 5–7 minutes, you can review everything before submitting, and you'll receive a response by email regarding scheduling.

Performance Psychiatry

For high performers

What is performance psychiatry?
Performance psychiatry works at the meeting point of mental health and high performance. It's designed for people whose lives carry sustained cognitive demands and pressure — executives, athletes, physicians, entrepreneurs, traders, students, and other high achievers. Where traditional care often stops once symptoms are managed, performance psychiatry pairs evidence-based medicine with mental training to sharpen focus under pressure, build resilience that doesn't cost you your ambition, and develop the habits of recovery that sustain long-term success. The goal isn't simply getting back to baseline — it's performing with more consistency, intention, and capacity.
Who is performance psychiatry for?
Executives, athletes, physicians, entrepreneurs, traders, students, and other high performers — anyone whose work carries sustained pressure, visibility, and the need to think clearly under stress. You don’t need a diagnosis to benefit; many patients come simply to perform with more consistency and control.
How is it different from a coach or a therapist?
A performance coach works on strategy and habits; a therapist works on emotional processing. A performance psychiatrist is a physician who does both and more — evaluating the whole picture, including conditions like ADHD, anxiety, or disrupted sleep that quietly cap performance, and treating them with the full range of tools, medical and behavioral.
Do I have to be struggling to benefit?
No. Performance psychiatry isn’t only about fixing what’s wrong — it’s about optimization. The goal isn’t simply returning to baseline, but operating with greater clarity, resilience, and capacity under pressure.
Is this confidential from my employer?
Yes. Your care is private and your records are confidential, with only the narrow exceptions required by law. Nothing is shared with an employer, team, or anyone else without your written consent — and because the practice is out-of-network and doesn’t bill insurance, there is no third-party paper trail through a health plan.
Not sure what’s holding your trading back?
If you’re not sure what’s driving your trading results — or whether working with a performance psychiatrist would even help — start with Psychiatrade, a free, private screener Dr. Theo built. Upload your broker trade history (CSV exports from IBKR, Webull, Tastytrade, Thinkorswim, TradeZero, TradeStation, and more are recognized automatically) and it surfaces the behavioral patterns showing up in your numbers — like cutting winners early, holding losers, sizing up after a loss, or overtrading. It’s a starting point for seeing where your edge might be leaking, not a clinical evaluation, and it runs entirely in your browser so your data never leaves your computer. Try the free screener →

Not sure where you fit?

Start with the free, private Psychiatrade screener — upload your trading history and see the behavioral patterns showing up in your results.

TGTheodore Germanos, MDPsychiatry & Performance Psychiatry · Secure telehealth
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Step 1 of 3 · About you

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Step 3 of 3 · A little about your needs

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